Anderson, Richard A.

Anderson, Richard A. is an individual health care provider with primary practice located at 520 Douglas Blvd , Tyler TX 75702-8307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Anderson, Richard A. can be contacted via phone (903) 510-8777.

Contact Information

Primary practice address
520 Douglas Blvd Tyler TX 75702-8307
Phone: (903) 510-8777
Fax: (903) 535-9922
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X E2441 Texas

Profile Details

NPI number 1588634257
LBN Legal business name Anderson, Richard A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Nov 24th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588634257 NPPES
Texas Other 4521803 AETNA
Texas Other 122977 AETNA
Texas MEDICAID 114233302 AETNA
Texas Other 752616977035 AETNA
Texas Other 83Y722 AETNA

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